Nelle Marie Brown, CS FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000436A Issued in IN

Practice address

1718 Executive Dr
Kokomo, IN 46902-3278

Phone

(765) 438-1467

NPI assigned

Dec 1, 2006

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: nellemarie.brown@1075131446919172.direct.elationemr.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1932277670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 EXECUTIVE DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 EXECUTIVE DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023278",
            "telephone_number": "765-438-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NELLE MARIE",
        "name_prefix": "Ms.",
        "credential": "CS FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000436A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200249590",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000612059",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayden Louise Brovont, RBT
• Bonnie N Brown
• Cheri Denise Brown, D.C.
• Kelly Jo Brown, BS
• Laura Brown, LCSW
• Renee Michelle Brown
• Sarah Brown
• Shabrion Brown
• Walter C. Brown II, D.D.S.
• Jeffrey Stephen Browne, M.D.

• Family Nurse Practitioner in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.